Funding Source Categories Restrictions Payment Method Programs Funded FY16 REC. Reimbursement through cost reporting process

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1 SANTA CLARA VALLEY HEALTH & HOSPITAL SYSTEM BEHAVIORAL HEALTH SERVICES DEPARTMENT / ALCOHOL & DRUG SERVICES FY16 RECOMMENDED BUDGET (as of 06/02/2015) FUNDING SOURCES Funding Source Categories Restrictions Payment Method Programs Funded FY16 REC Federal Discretionary Reimbursement through cost reporting process $7,541,425 Authority: United States Code, Title 42, Chapter 6A, Subchapter XVII, Part B, Section 300x-66. SAPT Discretionary funds provide for needed substance use disorder treatment, prevention, and recovery services, including services to specific populations. Those populations include youth and pregnant and parenting women These funds may be used for a wide range of activities to prevent and treat substance abuse and deal with the abuse of alcohol, the use or abuse of illicit drugs Prevention Set-Aside Authority: United States Code, Title 42, Chapter 6A, Subchapter XVII, Part B, Section 300x-66. SAPT Primary Prevention Set-Aside requires county to have an active prevention plan that adheres to SAMHSA s Strategic Prevention Framework. Priority areas are identified in the plan and strategies are selected, based on evidence where applicable, that will best address the priority areas and populations being served. Strategies may consist of both individual- and population-based services using one or more of the six prevention strategies identified by the federal Center for Substance Abuse Prevention Reimbursement through cost reporting process This funding is used for the following services (i.e., six prevention strategies identified by the federal Center for ): Information Dissemination, Education, Alternatives, Problem Identification and Referral, Community Based Process, and Environmental Services $2,401,954

2 Authority: United States Code, Title 42, Reimbursement through cost Funding used to prevent alcohol and drug use $30,000 Friday Chapter 6A, Subchapter XVII, Part B, reporting process among teenagers and middle school-age Night Live (FNL) Program and Club Live Program Section 300x-66. The Friday Night Live (FNL) program is a youth development program, aimed at high- school youth and designed to prevent alcohol and other drug use. As an extension of FNL, Club Live (CL) aims at middle schoolaged students. Also included are FNL Kids, targeting 4th through 6th grade youth and FNL Mentoring which coengages middle- and high-school aged students. Funding must be used in accordance with the six primary prevention strategies identified by the federal Center for Substance Abuse Prevention students through activities including community action, assemblies, and leadership training. HIV Set-Aside Authority: United States Code, Title 42, Reimbursement through cost Chapter 6A, Subchapter XVII, Part B, reporting process Section 300x-66. The HIV Set-Aside funds programs that provide HIV early intervention services (EIS). For clients participating in substance use disorder treatment programs. This funding can be used in treatment programs only. HIV services are voluntary, not required as condition of receiving AOD (Alcohol & Other Drugs) treatment. HIV early intervention services must be made available to individuals in an AOD treatment program at the treatment site. - Funding used to provide HIV early intervention services to individuals undergoing treatment for substance abuse. Services include appropriate pre-test counseling, testing, appropriate post-test counseling, and providing therapeutic measures in relationship to the testing for preventing and treating the conditions of the disease. - Funding can also be used for infectious disease testing, such as Hepatitis C testing and outreach services for intravenous drug users that are not currently participating in a substance abuse treatment program. - Services may be provided at treatment program site or satellite sites that provide treatment services only. $360,955 Perinatal Set-Aside Authority: United States Code, Title 42, Reimbursement through cost Chapter 6A, Subchapter XVII, Part B, reporting process Section 300x-66. Perinatal Set-Aside funds are used for women-specific services for treatment and recovery from alcohol and other substance use disorders, along with diverse supportive services for California women and their children. Funds cannot be used to supplant existing perinatal services. Programs are subject to Perinatal Services Network Guidelines Funding used to increase the availability of treatment services for pregnant women and women with dependent children only. Funding can be used to expand capacity, add new perinatal programs/services, and/or change existing programs. $530,514

3 Adolescent and Youth Treatment Program Authority: United States Code, Title 42, Chapter 6A, Subchapter XVII, Part B, Section 300x-66. These funds are not for Primary Prevention and Driving Underthe- Influence. The State's Youth Treatment Guidelines are designed for counties to use in developing and implementing youth treatment programs funded by this funding source. The use of the Youth Treatment Guidelines is voluntary. Reimbursement through cost reporting process SAPT Adolescent and Youth Treatment funds provide comprehensive, age-appropriate, substance use disorder services to youth. $431,654 SAMSHA Treatment For The Developmentally Delayed Grant SAMHSA award that provides Reimbursement through transitional housing units (THUs) and periodic claims submitted to case management services for the the Superior Court developmentally delayed (DD) individuals with substance use disorders and/or co-occurring substance abuse and mental health disorders who are eligible or participating in Santa Clara County's DD Drug Treatment Court. THUs and case management services provided for a specific population which are high risk/high need developmentally disabled (DD) individuals. Evidence-based practices (EBP) are being utilized for case management serbvices 9e.g., Motivational Interviewing, Cognitice Behavioral Therapy, Twelve Step Facilitation and Intensive Case Management. $317,862 SAMSHA Treatment For The Homeless Grant SAMHSA award that provides residential beds and case management services for the persistently homeless, criminal justice referred individuals with substance use disorders and/or cooccurring substance abuse and mental health disorders. Reimbursement through periodic claims submitted tosamhsa. The grant will expire on 8/31/15. The $68K funding amount reflects the last two months of the grant The grant funds are being used to serve approximately 200 clients refereed from the criminal justice system, includent Drug Treatment Court (DTC) over the five-year period of the grant. Homeless DTC also receive appropriate assessment and referrals fro medical services as part of normal care in the BHSD/Alcohol & Drug Services system. $68,231 Drug Medi-Cal (DMC) Authority: - Title XIX (Social Security Act), California Medicaid State Plan, and CCR, Division 3, Title 22 - Health Care Financing and Administration (HCFA-15) All alcohol & drug programs that have been certified by the State as being eligible generate this revenue when providing services to patients who are eligible for federal Medi-Cal. Cost reimbursement through the cost reporting process. Realignment and County general funds are used as match. The DMC Treatment Program provides medically necessary substance use disorder treatment services for eligible Medi-Cal beneficiaries. Services include outpatient drug free, narcotic replacement therapy, day care rehabilitative, Naltrexone, and counseling in residential facilities for pregnant and postpartum women. $1,313,262

4 State Realignment - Substance Use Disorder Behavioral Health Subaccount $3,987,180 Authority: FY State Budget and accompanying law. $3,948,629 is required as county sahre of SAPT Block Grant maintenance of effort (MOE) requirement. State's allocation. County Exec/OBA determines the amount of revenue to be recognized by the BHSD/Alcohol & Drug Services budget These funds are used for the cost of alcohol and drug treatment and prevention services. - This funding is allowed for services as identified in CCR, Title 22, Section These funds can be used for Perinatal programs serving populations of pregnant and postpartum women and their infants and parenting women and their children through age This funding can be used to backfill DMC overages (costs that exceed the DMC rate cap.) - These funds can be used for drug court services as original approved under the Drug Court Partnership program, Dependency Drug Court program, and the Comprehensive Drug Court Implementation program Criminal Justice and Rehabilitation Programs (AB 109 Funds) California Department of Corrections and Rehabilitation (CDCR) Authority: AB 109 legislation. This funding is for AB 109 eligible clients Authority: Terms of contract agreement between SCC and CDCR. This funding is for CDCR recently released parolees within Santa Clara County. State's allocation. County Exec/OBA determines the amount of revenue to be recognized by the BHSD/Alcohol & Drug Services budget Reimbursement through claims submitted to CDCR These funds are used for the cost of substance abuse treatment services provided to offenders as outlined in AB 109 Services include: - One-stop resource center where clients will be able to access reentry services such as housing, substance abuse and mental health counseling, food assistance, clothing, and mentoring postrelease - One on one and group therapy for issues such as relapse repvention, battery invtervention & prevention - Transitional housing - Access to the Transitions Clinic Network for medical care - Link individuals to the Faith Reentry Collaborative. $5,119,431 $1,044,047 Other Other County Agencies Reimbursements Misellaneous Others * Probation Dept's reimbursements are for services provided to its staff, providers and/or clients * Social Services Agency's reimbursements are for residential and transitional housing services provided to its clients * Valley Medical Center for alcohol & drug services provided to its clients. Cost reimbursement for services rendered to other county agencies - Training services - Residential services - Transitional housing services - Alcohol & drug services $1,729,536

5 Patient Fees County generated revenue. These are fees that are collected from clients and expended for treatment services. Patient payments for alcohol and drug services received Outpatient county clinics $78,850 Trust Funds Drug Trust Fund Alcohol Trust Fund Authority: SB921 (Drug TF), SB 920 (Alcohol TF). Fees collected by the county County's alcohol and drug abuse education and prevention services $305,000 This funding results from fines collected by the county for violations and convictions of alcohol/drug related offenses as required by SB920 (Alcohol Abuse Education & Prevention Penalty Assessment) and SB921 (Controlled Substance Abuse Penalty Fee). A minimum of 33% collected shall be allocated to primary prevention programs. In addition, these funds shall supplement and not supplant any local funds made available to support the county's alcohol and drug abuse education and prevention efforts. Statham Trust Fund Authority: Vehicle Code, Sections 23103, 23104, 23152, or These are court fines paid by those convicted for the following offenses: driving under the influence of alcohol, reckless driving, and reckless driving causing bodily injury. Fees collected by the court These are to be used for alcohol component of certified (or gong to be certified) treatment program $200,000 DUI Fees Authority: SB38 Drinking Driver Multiple Offense and AB541 Drinking Driver First Offense. 5% admin fee collected from treatment providers Administration and monitoring of the countywide DUI program $278,346 Service providers collect from their clients fees for their DUI treatment services. The County is paid 5% of these fees for administration and monitoring of the countywide DUI program.

6 County County General Fund (CGF) County subsidy - Outpatient services - Dependency Drug Treatment Court services - Family Wellness Court services - Residential treatment services - Transitional housing services - Women's services - Medical services - Call Center - Employee Assistance Program services - QI/Research - Admin/Support Services $26,440,841 TOTAL $52,179,088